Provider Demographics
NPI:1528335130
Name:HAMILTON, JAIME ERIN (PA)
Entity type:Individual
Prefix:
First Name:JAIME
Middle Name:ERIN
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:900 NE 139TH ST STE 202
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98685-2513
Mailing Address - Country:US
Mailing Address - Phone:360-566-9355
Mailing Address - Fax:360-816-1327
Practice Address - Street 1:900 NE 139TH ST STE 202
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98685-2513
Practice Address - Country:US
Practice Address - Phone:360-566-9355
Practice Address - Fax:360-816-1327
Is Sole Proprietor?:No
Enumeration Date:2011-11-28
Last Update Date:2014-07-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ5028363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant